Gupta Ankit, Chetty Gavin, Hopkinson David, Rao Jagan, Chetty Govind
School of Medicine, Worsley Building, University of Leeds, Woodhouse, Leeds, LS2 9JT, UK.
Northern General Hospital, Herries Road, Sheffield S5 7AU, UK.
J Surg Case Rep. 2023 Jan 31;2023(1):rjad022. doi: 10.1093/jscr/rjad022. eCollection 2023 Jan.
Bronchopulmonary sequestration is a rare disease in which a non-functional region of pulmonary tissue receives an aberrant vascular supply and lacks normal communication with the tracheobronchial tree. We present the case of a 30-year-old female with a primary complaint of unexplained weight loss and no other additional signs or symptoms. In view of this, computed tomography imaging was ordered, showing a 33HU mass in the right upper lobe. A specialist radiologist reviewed the images and concluded that the most likely differentials were mediastinal lymphoma or thymic malignancy. Video-assisted thoracoscopic surgery was performed, when it was seen that no malignancy was present, but rather a bronchopulmonary sequestration. Histology confirmed the diagnosis; the patient fared well post-operatively. Bronchopulmonary sequestration is a rare pathology, with most cases occurring in the lower lung lobes. This case is highly atypical, due to the lack of clinical features and the lesion radiologically mimicking the appearance of malignancy.
支气管肺隔离症是一种罕见疾病，其中肺组织的一个无功能区域接受异常的血管供应，且与气管支气管树缺乏正常连通。我们报告一例30岁女性病例，其主要诉求为不明原因体重减轻，无其他附加体征或症状。鉴于此，进行了计算机断层扫描成像，显示右上叶有一个33HU的肿块。一位专业放射科医生对图像进行了评估，得出最可能的鉴别诊断为纵隔淋巴瘤或胸腺恶性肿瘤。随后进行了电视辅助胸腔镜手术，术中发现并无恶性肿瘤，而是支气管肺隔离症。组织学检查确诊了该诊断；患者术后恢复良好。支气管肺隔离症是一种罕见的病理情况，大多数病例发生在下肺叶。该病例非常不典型，因为缺乏临床特征，且病变在影像学上类似恶性肿瘤的表现。
